The Hip Joint

Reasons for Procedure

Hip osteotomy is done when the hip bones do not fit together well. Poorly fitting hip bones can cause pain and make it difficult to move. Over a long period of time the improper fit can lead to problems like arthritis.

The surgery is most often done in children. It may be done because of:

Conditions that cause abnormal muscle contractions such as
cerebral palsy

What to Expect

In the days leading up to the surgery, the doctor will talk about the medicines you or your child is taking. Some medicines may need to be stopped before the surgery.

You may be saked to stop eating or drinking after midnight the night before surgery.

General anesthesia
is usually used. It blocks pain and keeps
you or
your child asleep through the surgery.

Several incisions will be made to around the hip joint. The specific bones that are altered will depend on your specific condition. The leg and/or pelvic bones will need to be cut. A wedge of bone may be removed. This wedge may be attached to a new area and held in place with plates and screws. The cuts and wedge will let the doctor reposition the bones into a better place.

The incision area will be closed with stitches.

Vital signs will be monitored in a recovery room.

2-5 hours depending on the type of surgery

Anesthesia prevents pain during surgery. Medication will also be given after surgery to help manage pain.

Hospital stay may last for 4-5 days. Complications will lead to a longer stay.

Recovery in the hospital may include:

Pain medication

Placing and changing bandages over the incision sites

Using pillow-like devices to separate and support the legs

Ice to reduce swelling

Breathing exercises to decrease the risk of fluid build-up in the lungs

To help ensure a smooth recovery at home:

Give pain medicine as directed.

Keep the incision area clean and dry. Care for the wound as instructed by the doctor.

Ask the doctor when it is safe to shower, bathe, or soak in water.

You may need to use a walker or wheelchair.

Follow the instructions the doctor gives you.

A physical therapist can help you with balance, range-of-motion, and strength training.

Your doctor will want to check on your progress. Full recovery can take 3-6 months.

Call Your Doctor

After your child leaves the hospital, contact the doctor if your child has:

Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.